<div class="col-md-12">
	<div class="box">
		<!-- BOX-BODY -->
		<div class="box-body">
			<!-- 列表编辑-->
			<div class="row">
				<div class="col-xs-12">
					<p class="user-add-btn">
						<button class="btn btn-primary" type="button"><i class="fa fa-check icon-white"></i>&ensp;保存</button>
						<button class="btn btn-light-grey" disabled=""><i class="fa fa-times"></i>&ensp;取消</button>
					</p>
				</div>
				<div class="marginLR-100">
					<div class="col-xs-12 nopadding-horizontal mt20">
						<div class="col-xs-12 col-sm-6">
							<div class="form-input-group">
								<span class="input-group-addon">护工姓名：</span>
								<input class="input-group-content" placeholder=""/>
							</div>
							
						</div>
						<div class="col-xs-12 col-sm-6">
							<div class="form-input-group">
								<span class="input-group-addon">性&emsp;&emsp;别：</span>
								<select class="input-group-content">
									<option value="" selected="selected"></option>
								<option value="女">女</option>
								<option value="男">男</option></select>
							</div>
							
						</div>
						<div class="col-xs-12 col-sm-6">
							<div class="form-input-group">
								<span class="input-group-addon">民&emsp;&emsp;族：</span>
								<input class="input-group-content" placeholder=""/>
							</div>
							
						</div>
						<div class="col-xs-12 col-sm-6">
							<div class="form-input-group">
								<span class="input-group-addon">户&emsp;&emsp;籍：</span>
								<input class="input-group-content" placeholder=""/>
							</div>
							
						</div>
						<div class="col-xs-12 col-sm-6">
							<div class="form-input-group">
								<span class="input-group-addon">现&ensp;住&ensp;址：</span>
								<input class="input-group-content" placeholder=""/>
							</div>
							
						</div>
						<div class="col-xs-12 col-sm-6">
							<div class="form-input-group">
								<span class="input-group-addon">邮&emsp;&emsp;箱：</span>
							 <input class="input-group-content" placeholder=""/>
							</div>
							
						</div>
						<div class="col-xs-12 col-sm-6">
							<div class="form-input-group">
								<span class="input-group-addon">身份证号：</span>
								<input class="input-group-content" placeholder=""/>
							</div>
							
						</div>
						<div class="col-xs-12 col-sm-6">
							<div class="form-input-group">
								<span class="input-group-addon">联系电话：</span>
								<input class="input-group-content" placeholder=""/>
							</div>
							
						</div>
						<div class="col-xs-12 col-sm-6">
							<div class="form-input-group">
								<span class="input-group-addon">所属部门：</span>
								<select class="input-group-content">
									<option value="" selected="selected"></option>
								<option value="护理部">护理部</option>
								<option value="护士部">护士部</option></select>
							</div>
							
						</div>
					</div>
				</div>
			</div>
			<!-- 列表编辑 -->
		</div>
		<!-- /BOX-BODY -->
	</div>
</div>
